An evaluation of patients who present to the emergency department with dizziness

Oya Akpınar Oruç; Neşe Nur User

An evaluation of patients who present to the emergency department with dizziness

Abstract

This study aimed to analyze the data of patients presenting with dizziness at our hospital’s emergency department (ED) by determining the etiology of dizziness and to contribute to the medical data of our country and the literature. This prospective study was conducted with 116 volunteering patients who presented to the Emergency Department of Afyon Kocatepe University, Faculty of Medicine for one year with dizziness complaints. After the anamnesis, physical examination, diagnostic tests (blood tests, Dix-Hallpike maneuver, audiological-vestibular tests, carotid-vertebral artery color Doppler ultrasonography, and computerized brain tomography), and psychiatric interrogation, the patients were divided into four etiology groups: Peripheral, central, psychogenic, and other causes of dizziness. Clinical features were compared between peripheral and central dizziness groups. A total of 116 (3.4%) of patient admissions to the emergency department complained of dizziness. Forty-nine (42.2%) of these patients were male, 67 (57.8%) were female. In the cohort, 33.9% were under 40, and dizziness increased with older age. Seventy (60.3%) patients had no formal education or were primary school graduates. The initial evaluation at the ED revealed that dizziness mostly shifted with the position (71.6%) and was mainly accompanied by headache (67.2%). Based on their diagnosis, 50 patients (43.1%) were in the peripheral group, 30 patients (25.8%) were in the central group, 22 patients (19%) were in the psychogenic dizziness group, and 14 patients (12%) were in the other causes group. Intergroup analysis between peripheral and central vertigo groups identified that the hearing loss, ear fullness, recent upper respiratory tract infection (URTI), nausea, vomiting, and shifting position was statistically significant (p<0.05). Dizziness is one of the common complaints of admission to the ED and may arise from different etiologies. Our study demonstrated that psychogenic dizziness was common in this patient cohort

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Oya Akpınar Oruç This is me
0000-0003-2515-0956
Türkiye

Neşe Nur User This is me
Türkiye

Publication Date

October 17, 2022

Submission Date

March 13, 2022

Acceptance Date

July 25, 2022

Published in Issue

Year 2022 Volume: 2 Number: 4

IZ

https://izlik.org/JA79RU97CL

Cite

RIS / Bibtex

Vancouver

1.Oya Akpınar Oruç, Neşe Nur User. An evaluation of patients who present to the emergency department with dizziness. Health Sci. Q. [Internet]. 2022 Oct. 1;2(4):205-12. Available from: https://izlik.org/JA79RU97CL